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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2019  |  Volume : 26  |  Issue : 4  |  Page : 240-242

Cilioretinal artery branch avulsion secondary to surgical embolectomy: Management and outcome

1 Retina Department and Ophthalmology Service, Clinica David; Department of Ophthalmology, School of Medicine, Michoacan University, Morelia, Michoacan, Mexico
2 Department of Subspecialties, Retina Service, Association to Prevent Blindness in Mexico; Department of Ophthalmology, School of Medicine, Tecnologico de Monterrey, Mexico City, Mexico
3 Department of Subspecialties, Retina Service, Association to Prevent Blindness in Mexico, Mexico City, Mexico

Correspondence Address:
Dr. Sergio E Hernandez-Da Mota
Department of Retina, Clinica David, Ophthalmology Service, Blvd., Garcia de Leon 598-2, Colonia Nueva Chapultepec, CP 58280, Morelia, Michoacan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/meajo.MEAJO_36_18

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We report the trans-operative approach and short-term outcome of a patient who suffered a traumatic avulsion of the cilioretinal artery branch during the surgical management of a cilioretinal arterial branch occlusion (CRABO) with intraocular embolectomy. A patient with acute CRABO underwent a pars plana vitrectomy with in situ embolectomy. The blocked artery was incised using 25 gauge vertical scissors, and embolus manipulation was done using microsurgical forceps. During embolus extraction, the occluded cilioretinal artery and its branch were inadvertently avulsed and torn with subsequent intense bleeding. Laser and endodiathermy were used for acute hemostasis. The maneuvers created an unintended retinochoroidal anastomosis. Visual field improvement was noted 3 months after the surgery. In the event of a complicated surgical embolectomy with the avulsion of the artery, the formation of a retinochoroidal anastomosis and reperfusion of the occluded may occur along with the improvement of visual fields in some cases.

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